Organization · NPI-2

219 Health Network, INC.

Clinic/Center, Federally Qualified Health Center (FQHC) · Munster, IN

NPI number1821771874

StatusActive

Last updated in NPPESAug 16, 2024

Details

NPI: 1821771874
Entity type: Organization (NPI-2)
Legal business name: 219 Health Network, INC.
Organization subpart: No
Enumeration date: Aug 8, 2023
Certification date: Aug 16, 2024
Last updated: Aug 16, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QF0400X	Clinic/Center, Federally Qualified Health Center (FQHC)	–	–	Yes
207V00000X	Obstetrics & Gynecology	–	–
363LW0102X	Nurse Practitioner, Women's Health	–	–

Practice location

1946 45th St
Ste D
Munster, IN 46321-3986

Phone 219-924-1888 · Fax 219-922-8359

Mailing address

100 W Chicago Ave Ste F
East Chicago, IN 46312-3261

Phone 219-392-7016

Authorized official

William Cortes
Executive Director
2197032585

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